KIMBERLY WEN FUNG


Address: 141 W Foothill Blvd, Upland, CA 91786-8705
Phone: 9092968800

KIMBERLY WEN FUNG (NPI# 1780225391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780225391
Entity Type Individual
Full Name KIMBERLY WEN FUNG
Credential FNP-BC
Practice Address 141 W Foothill Blvd
Upland
CA 91786-8705
Mailing Address 12900 Park Plaza Dr Ste 150
Cerritos
CA 90703-9329
Practice Telephone 9092968800
Mailing Telephone 5629774639
Enumeration Date 2019-10-04
Last Update Date 2019-10-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
95012560 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers KIMBERLY FUNG

NPI Name Taxonomy Address Enumeration
1740710524 Kimberly Sui Fan Fung Registered Nurse 1279 22nd Ave, San Francisco, CA 94122 2017-06-14
1710361324 Kimberly Fung Counselor 437 W Division St Apt 406, Chicago, IL 60610-1721 2015-07-13
1366409583 Kimberly Michelle Fung Physician Assistant 5505 Peachtree Dunwoody Rd Ne, Ste. 410, Atlanta, GA 30342-1705 2006-05-01

Office Location

Street Address 141 W FOOTHILL BLVD
City UPLAND
State CA
Zip Code 91786-8705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932153582 Terence P. Rhone Internal Medicine 141 W Foothill Blvd, Upland, CA 91786-8705 2006-05-19
1104367135 Theresa Davis-bates Nurse Practitioner 141 W Foothill Blvd, Upland, CA 91786-8705 2017-03-09
1912342783 Paul Bixenstine Internal Medicine 141 W Foothill Blvd, Upland, CA 91786-8705 2013-05-06
1376640714 Johnny Jaehwan Choi Internal Medicine 141 W Foothill Blvd, Upland, CA 91786-8705 2006-09-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366093254 California Clinics, Inc Physical Medicine & Rehabilitation 818 N Mountain Ave Ste 102, Upland, CA 91786 2019-09-23
1699231621 Lynn Keitz Nurse Practitioner 360 East 7th Street, Suite D, Upland, CA 91786 2019-02-14
1003386608 Devin A Lockett Counselor 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 2018-11-27
1265900096 Right Ride Driver 1023 West Arrow Hwy Apt A, Upland, CA 91786 2018-11-09
1689142069 Mike Sedat Safi Driver 1023 W Arrow Hwy, Apt A, Upland, CA 91786 2018-11-05
1902373640 Barsoum Dental Dentist 258 E. 9th Street, Upland, CA 91786 2018-10-31
1346736600 Jennifer Lynn Henshaw Counselor Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 2018-07-10
1972099521 Sadeg Aldolaim Nurse Practitioner 2086 W Arrow Route, Apt 824, Upland, CA 91786 2018-07-06
1831607332 Sandra Sun Pharmacist 1445 E. Foothill Blvd., Upland, CA 91786 2018-01-18
1841713625 Dynamic Performance Physical Therapy Inc Clinic/Center 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 2017-07-24
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972099521 Sadeg Aldolaim Nurse Practitioner 2086 W Arrow Route, Apt 824, Upland, CA 91786 2018-07-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235738782 Peninsula Healthcare Center Nurse Practitioner 22330 Hawthorne Blvd Ste 208, Torrance, CA 90505-2536 2020-10-25
1710584008 Venessa Beck Nurse Practitioner 903 Cardiff St, San Diego, CA 92114-5019 2020-10-08
1053918094 Janel Nicole Sanglerat Nurse Practitioner 416 Aviation Blvd, Santa Rosa, CA 95403-1032 2020-10-02
1790382760 Christopher Tran Nurse Practitioner 11441 Heacock St Ste F, Moreno Valley, CA 92557-7907 2020-10-02
1487266292 Mollie Shira Hudson Nurse Practitioner 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 2020-08-21
1962014381 Mario Javier Herrera Nurse Practitioner 2130 High Pointe Dr, Apt 108, Corona, CA 92879 2020-08-18
1952912131 Norman Ivan Kier Nurse Practitioner 3834 Edison Ave, Sacramento, CA 95821-2728 2020-08-12
1942811377 Thanhan Mathews Nurse Practitioner 114 W Cameron St Apt B, Hanford, CA 93230-2965 2020-08-10
1972113355 Marine Mary Kademyan Nurse Practitioner 6528 Babcock Ave, North Hollywood, CA 91606 2020-07-31
1245849645 Shannon Pereira Nurse Practitioner 2368 Honeysuckle Way, Hemet, CA 92545-4796 2020-07-31
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Competitor

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City UPLAND
Zip Code 91786

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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